Key result
Cosmetic AICD placement via tailored small incisions achieves minimal cosmetic impairment in young women.
Why the study?
A surgical approach for more cosmetically acceptable placement of the automatic implantable cardioverter-defibrillator in young women was needed.
Does a modified surgical approach reduce cosmetic impairment for automatic implantable cardioverter-defibrillator placement in young women?
Does a modified surgical approach reduce cosmetic impairment for automatic implantable cardioverter-defibrillator placement in young women?
A modified surgical approach for AICD placement in young women minimizes cosmetic impairment by utilizing hidden incisions and low abdominal generator placement.
Hypothesis-generating for cosmetic AICD placement in young women; prospective trials needed before clinical adoption.
A surgical approach is described for a more cosmetically acceptable placement of the automatic implantable cardioverter-defibrillator in young women. The transvenous sensing lead and the vena caval spring electrode are placed through a small subclavicular incision. The left ventricular patch electrode is placed through an anterior minithoracotomy in the crease under the left breast. A small transverse incision in the left lower quadrant is used to place the generator under the external oblique fascia in the low abdominal wall. Minimal cosmetic impairment from incisions and hardware results.
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Curiale et al. (1991) studied Need for automatic implantable cardioverter-defibrillator. Cosmetic surgical approach for AICD placement was evaluated on Cosmetic impairment. A cosmetic surgical approach for automatic implantable cardioverter-defibrillator placement in young women using specific small incisions results in minimal cosmetic impairment.
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